NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1396916417 |   |   |   | ST. LUKE'S REGIONAL MEDICAL CENTER | PO BOX 110 | BOISE | ID | 837010110 |
1497807812 |   |   |   | GRANDE RONDE HOSPITAL, INC | PO BOX 3290 | LA GRANDE | OR | 978507290 |
1669666939 |   |   |   | ST LUKES REGIONAL MEDICAL CENTER | PO BOX 110 | BOISE | ID | 837010110 |
1841234747 | BASS | SAMUAL |   |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |
1023144300 | DACCARETT | MARCOS |   |   | 190 E BANNOCK ST | BOISE | ID | 83712 |
1932153137 | EIRIKSSON | CHARLES | E |   | 190 E BANNOCK ST | BOISE | ID | 837126241 |